Tags

Type your tag names separated by a space and hit enter

Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care.
BMJ Open. 2019 03 30; 9(3):e026484.BO

Abstract

INTRODUCTION

Preterm birth may generate significant distress among the parents, who often present with difficulties in appropriating their parental role. Parental stress and low perceived parental self-efficacy may interfere with the infant's socioemotional and cognitive development, particularly through disrupted parent-infant interactions. Perceived parental self-efficacy represents the belief of efficacy in caring for one's own infant and successful incarnation of the parental role, as well as the perception of one's own abilities to complete a specified task. Interventions to support parental role, as well as infant development, are needed, and parental self-efficacy represents a useful indicator to measure the effects of such early interventions.

METHODS AND ANALYSIS

This study protocol describes a randomised controlled trial that will test an early intervention in the neonatal intensive care unit (NICU) (JOIN: Joint Observation In Neonatology) carried out by an interdisciplinary staff team. Mothers of preterm neonates born between 28 and 32 6/7 weeks of gestational age are eligible for the study. The intervention consists of a videotaped observation by a clinical child psychologist or child psychiatrist and a study nurse of a period of care delivered to the neonate by the mother and a NICU nurse. The care procedure is followed by an interactive video guidance intended to demonstrate the neonate's abilities and resources to his parents. The primary outcome will be the difference in the perceived maternal self-efficacy between the intervention and control groups assessed by self-report questionnaires. Secondary outcomes will be maternal mental health, the perception of the parent- infant relationship, maternal responsiveness and the neurodevelopment of the infant at 6 months corrected age.

ETHICS AND DISSEMINATION

Ethical approval was granted by the Human Research Ethics Committee of the Canton de Vaud (study number 496/12). Results from this study will be disseminated at national and international conferences, and in peer-reviewed journals.

TRIAL REGISTRATION NUMBER

NCT02736136, Pre-results.

Authors+Show Affiliations

Woman-Mother-Child, Clinic of Neonatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.Child and Adolescent Psychiatry, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Psychomotricity Institute, University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland.Child and Adolescent Psychiatry, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.Woman-Mother-Child, Clinic of Neonatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.Woman-Mother-Child, Clinic of Neonatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.Woman-Mother-Child, Clinic of Neonatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.Woman-Mother-Child, Clinic of Neonatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, Switzerland. Woman-Mother-Child, Clinic of Neonatology, Lausanne University Hospital, Lausanne, Switzerland.No affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30928952

Citation

Schneider, Juliane, et al. "Joint Observation in NICU (JOIN): Study Protocol of a Clinical Randomised Controlled Trial Examining an Early Intervention During Preterm Care." BMJ Open, vol. 9, no. 3, 2019, pp. e026484.
Schneider J, Borghini A, Morisod Harari M, et al. Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care. BMJ Open. 2019;9(3):e026484.
Schneider, J., Borghini, A., Morisod Harari, M., Faure, N., Tenthorey, C., Le Berre, A., Tolsa, J. F., & Horsch, A. (2019). Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care. BMJ Open, 9(3), e026484. https://doi.org/10.1136/bmjopen-2018-026484
Schneider J, et al. Joint Observation in NICU (JOIN): Study Protocol of a Clinical Randomised Controlled Trial Examining an Early Intervention During Preterm Care. BMJ Open. 2019 03 30;9(3):e026484. PubMed PMID: 30928952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care. AU - Schneider,Juliane, AU - Borghini,Ayala, AU - Morisod Harari,Mathilde, AU - Faure,Noemie, AU - Tenthorey,Chloé, AU - Le Berre,Aurélie, AU - Tolsa,Jean-François, AU - Horsch,Antje, AU - ,, Y1 - 2019/03/30/ PY - 2019/4/1/entrez PY - 2019/4/1/pubmed PY - 2020/4/4/medline KW - developmental care KW - early intervention KW - mother KW - parenting KW - preterm KW - self-efficacy SP - e026484 EP - e026484 JF - BMJ open JO - BMJ Open VL - 9 IS - 3 N2 - INTRODUCTION: Preterm birth may generate significant distress among the parents, who often present with difficulties in appropriating their parental role. Parental stress and low perceived parental self-efficacy may interfere with the infant's socioemotional and cognitive development, particularly through disrupted parent-infant interactions. Perceived parental self-efficacy represents the belief of efficacy in caring for one's own infant and successful incarnation of the parental role, as well as the perception of one's own abilities to complete a specified task. Interventions to support parental role, as well as infant development, are needed, and parental self-efficacy represents a useful indicator to measure the effects of such early interventions. METHODS AND ANALYSIS: This study protocol describes a randomised controlled trial that will test an early intervention in the neonatal intensive care unit (NICU) (JOIN: Joint Observation In Neonatology) carried out by an interdisciplinary staff team. Mothers of preterm neonates born between 28 and 32 6/7 weeks of gestational age are eligible for the study. The intervention consists of a videotaped observation by a clinical child psychologist or child psychiatrist and a study nurse of a period of care delivered to the neonate by the mother and a NICU nurse. The care procedure is followed by an interactive video guidance intended to demonstrate the neonate's abilities and resources to his parents. The primary outcome will be the difference in the perceived maternal self-efficacy between the intervention and control groups assessed by self-report questionnaires. Secondary outcomes will be maternal mental health, the perception of the parent- infant relationship, maternal responsiveness and the neurodevelopment of the infant at 6 months corrected age. ETHICS AND DISSEMINATION: Ethical approval was granted by the Human Research Ethics Committee of the Canton de Vaud (study number 496/12). Results from this study will be disseminated at national and international conferences, and in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT02736136, Pre-results. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/30928952/Joint_observation_in_NICU__JOIN_:_study_protocol_of_a_clinical_randomised_controlled_trial_examining_an_early_intervention_during_preterm_care_ L2 - http://bmjopen.bmj.com/cgi/pmidlookup?view=long&pmid=30928952 DB - PRIME DP - Unbound Medicine ER -